Organization
MUSKOGEE DIALYSIS LLC
Active
Other names
Muskogee Community Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K HILGER (VICE PRESIDENT)
(253) 382-1919
Entity
Organization
Contact information
Practice address
2316 W SHAWNEE ST, MUSKOGEE, OK 74401-2228
(918) 687-0016
(918) 687-1858
Mailing address
5200 VIRGINIA WAY, STE 400, BRENTWOOD, TN 37027-7569
(615) 320-4521
(866) 594-2894
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100741140T
—
OK
Enumeration date
04/03/2006
Last updated
10/23/2009
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